Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rebecca Mickelson

Individual provider Physical Therapist · NPI 1972368629

Rebecca Mickelson is a Physical Therapist in Private Practice in Roseville, California. Qualified in 2020, 6 years ago. Practices with Milestone Physical Therapy Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

140 Diamond Creek Pl Ste 125
Roseville, CA 95747-6654
Phone: (916) 206-3612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 298420 (CA)

Record details

NPI number1972368629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Milestone Physical Therapy Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roseville